Program Applications

You will need Adobe Reader to open the applications.
Download
this free program or the latest version, which is recommended.

Click the button in the top right of the application to turn on the Highlight Fields Option which will highlight the fields to be filled out.

Use the "tab" key to easily go to the next field.

As of 11/23/2017 there are 612 applications available.

Click on the first letter of the name of the program. Then click on the application for that program. Dates next to each listing reflect the last update. Some applications may need to be opened with a different viewer depending on which browser you are using. Firefox users may get a message saying "This PDF document might not be displayed correctly." Try clicking on the "Open With Different Viewer" option. If you are still unable to interactively complete the application, use a different browser.

Send the completed application to the address on the application and not to NeedyMeds.

If you cannot find an application or are having trouble printing one, contact the program or company.

Contents may not be reproduced in any form except for personal use and may not be used on any other website without permission

NeedyMeds, a registered 501(c)(3) national nonprofit (#46-3091990), makes every effort to ensure the accuracy of the information on the website. However, we can't guarantee the accuracy or completeness of the information. Always check with the individual program if you have questions.